Laserfiche WebLink
Town of Oregon <br /> Driveway Permit Application <br /> Name and Address of Prope y"Owner" --10,1"/ /C [ 011/S <br /> 2/G' `-st1(sl <br /> Or Agent for Propertw wner (if applicable): is A _I) • r .._ <br /> I+ t) r <br /> Phone Number of Owner Agent'ICY ' f d'L� <br /> Location:SvoT 9 j 9 side of £JZLA o �GCJ <br /> located miles <br /> from , in Section Town of Oregon. <br /> Conditions 0 <br /> Width of driveway l 2. in feet. Center of driveway from property line: fleet. <br /> z 5' P44- <br /> No drainage culvert needed. OR <br /> Drainage culvert needed. Size: Length 2.4 feet <br /> Diameter a 4arr-'4 inches <br /> Permit Fee$100; Field Drive$50.00; Re-inspection Fee$50.00 <br /> Other requirements: Inspection of proposed drive must be done 48 hours prior to beginning of <br /> excavation work. <br /> I acknow � receipt • 'the Town of Oregon driveway ordinance and conditions of approval: <br /> A P AL _ i -- 5 .4 010 <br /> Sig .ture of P •p rty Owner 4 gent Date <br /> Approval <br /> Permit Granted (two signatures required): <br /> z6, <br /> T Chairman Date <br /> Town Public Works Date <br /> FOR OFFICE USE ONLY: Date Permit Fee Paid: /00 Check Number: 7y o Receipt Number:3��0 <br /> Y /YI�t3 r Er.,IL_44rr/L`LK.GS111- C1-) . /l u/ `J//, fJ '5)71 .• <br />